Organization Active NPI

Nellie and Juliet Eyecare PLLC

  • Optometrist
  • Katy, TX
National Provider Identifier
1306603683
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NELLIE AND JULIET EYECARE PLLC
Practice address
22314 Indigo Pines LN
Katy, TX 77450-8080
Phone
(347) 456-9795
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shahin Eghanian, OD, MS.NPI 1366881930
Title
Optometrist
Phone
(347) 456-9795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

22314 Indigo Pines LN
Katy, TX 77450-8080

Mailing address

22314 Indigo Pines LN
Katy, TX 77450-8080
Phone (347) 456-9795

Other names 2

  • N&J Eyecare Other name
  • Nellie & Juliet Eyecare Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730000923 TX Part B Supplier - Clinic/Group Practice 5698212421 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1306603683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22314 INDIGO PINES LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508080",
            "telephone_number": "347-456-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22314 INDIGO PINES LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508080",
            "telephone_number": "347-456-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIE AND JULIET EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "EGHANIAN",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "347-456-9795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MS."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N&J Eyecare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nellie & Juliet Eyecare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nellie & Juliet Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.